Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.34 / $5.32 / $6.08	Facility	26	$4.34	$5.32	$6.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $38.69 / $51.81	Professional		$21.74	$38.69	$51.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.99 / $3.81 / $5.75	Professional	26	$2.99	$3.81	$5.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.93 / $14.07 / $20.00	Professional	52	$10.93	$14.07	$20.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $33.36 / $38.79	Professional	TC	$20.85	$33.36	$38.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $31.46 / $37.26	Professional		$16.11	$31.46	$37.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.28 / $3.28 / $4.32	Professional	26	$3.28	$3.28	$4.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $13.83 / $13.83	Professional	TC	$13.83	$13.83	$13.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $73.95 / $73.95	Professional		$73.95	$73.95	$73.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $37.40 / $205.00	Professional		$22.96	$37.40	$205.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.11 / $4.91 / $8.00	Professional	26	$3.11	$4.91	$8.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $32.27 / $189.00	Professional	TC	$20.36	$32.27	$189.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $39.94 / $101.15	Facility	26	$39.94	$39.94	$101.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $67.50 / $724.06	Professional		$25.26	$67.50	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $5.22 / $289.41	Professional	26	$3.25	$5.22	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $58.74 / $660.75	Professional	TC	$22.01	$58.74	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $36.97 / $131.09	Professional		$25.26	$36.97	$131.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $4.67 / $6.51	Professional	26	$3.25	$4.67	$6.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $32.09 / $131.37	Professional	TC	$22.01	$32.09	$131.37